Amy Melvin
Bluefield,WV
Summary
Experienced and dedicated Account Receivable Manager with a strong background in healthcare finance and revenue cycle management. With over 19 years of experience, I have developed a keen eye for detail and a commitment to delivering exceptional results. My expertise extends to areas such as provider enrollment, credentialing, and contracting, allowing for effective navigation of the complexities of the healthcare industry. Additionally, valuable knowledge in value-based payment transformation and Medicare ACO is possessed, enabling contribution to the success of any organization in this field.
Overview
19
19
years of professional experience
Work History
Account Receivable Manager
Bland County Medical Clinic
01.2014 - Current
- Revenue cycle manager for a FQHC with Medical, Behavioral Health and Dental services
- Oversee the entire revenue cycle process
- Supervision of 16 employees
- Member of QA committee
- Thorough knowledge of value based contracts and coding
- Provider enrollment and credentialing with insurance plan
- Medicare FISS system working RTP, resubmissions and cancels
- Experience in UDS reporting, PCMH accreditation
- Provider education on documentation, EM coding, ICD 10, CPT, CDT.
- Maintained accurate financial records by regularly reconciling accounts receivable ledgers.
- Ensured timely payments from clients through effective communication and proactive followups.
- Posted customer payments by recording cash, checks, and credit card transactions.
- Verified discrepancies and resolved clients' billing issues
- Analyzed aging reports and provided recommendations for improving collections efforts.
- Streamlined provider enrollment processes by implementing efficient data management systems.
- Contacted insurance carriers to obtain information regarding denials.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
Certified Coding Specialist
Bluefield Regional Medical Center
01.2008 - 01.2014
- Worked as a certified coding specialist in an acute care hospital
- Inpatient, observation, ER, and ancillary coding (5 yrs)
- Daily reporting, submitting documentation for audits, data entry
- Providing technical guidance to physicians and other departmental staff
- Expedited claim processing times by reviewing medical records thoroughly and assigning appropriate codes efficiently.
- Proactively sought opportunities for professional development through attending industry conferences, webinars, and training sessions, ensuring a strong understanding of current trends and best practices in medical coding.
- Contributed to overall revenue growth through diligent attention to detail in code assignment, resulting in fewer errors and adjustments needed later on.
- Optimized workflow efficiency through cross-training in multiple specialties, enabling flexibility in task assignments according to team needs.
- Increased overall productivity by working closely with colleagues when faced with complex cases requiring input from multiple specialists within the organization.
- Maintained strict adherence to HIPAA regulations while handling sensitive patient information during the coding process.
- Stayed current on industry trends and changes in coding standards, adjusting processes accordingly to maintain compliance.
- Supported the implementation of new coding software by providing input on user experience and participating in testing phases to identify areas for improvement.
- Collaborated with physicians and clinical staff to ensure accurate documentation for proper billing purposes.
Certified Medical Assistant
Dr. Bruce Lasker
08.2005 - 03.2008
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Called and faxed pharmacies to submit prescriptions and refills.
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
- Collected and documented patient medical information such as blood pressure and weight.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Education
BS – Medical and Health Services Management -
American National University
08.2024
CCS Certification -
Ahima
11.2010
Skills
- Revenue cycle management
- Medical billing and coding
- Financial reporting/analysis
- Staff training/development
- Regulatory compliance
- Strong communication skills
- Provider relations/contracting
- Collections expertise
- Cash Management
- Staff Management
- Statement preparation
Timeline
Account Receivable Manager
Bland County Medical Clinic
01.2014 - Current
Certified Coding Specialist
Bluefield Regional Medical Center
01.2008 - 01.2014
Certified Medical Assistant
Dr. Bruce Lasker
08.2005 - 03.2008
BS – Medical and Health Services Management -
American National University
CCS Certification -
Ahima
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